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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
;,,-.-,-,r--~~-~~, ~~•~f1~h~~`tr~( HELD OR TRUST ASSETS
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 IX AFP C12-09)
DATE 03-16-2 10
ESTATE OF CRUM JR HORACE M
DATE OF DEATH 10-01-2 08
FILE NUMBER 21 08-1 18
COUNTY CUMBERL ND
SSN/DC 182-40-..844
ACN 0900305
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~~~F,~~ ~w;,
BRADLEY E CRUM ~~'~~~f n ( ~'
4448 PASTURE DRIVE
ELIZABETHTOWN PA 17022
CUT ALONG THIS LINE
MAKE CHECK PAYABLE AN (REMIT PAYMENT T0:
REGISTER OF WILLS'.
1 COURTHOUSE SQUA E
CARLISLE PA 170'3
~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSNS ~*
DATE: 03-16-2010
ESTATE OF: CRUM JR HORACE M DATE OF DEATH: 10-01-2008 COUNTY: CUMBERLAND
FILE NO.: 21 OS-1018 S.S/D.C. N0.:182-40-7844 y4CN: 09003050
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL I NST I TUT I ON : BELCO ACCOUNT NO '' : 863044
TYPE OF ACCOUNT: t ~ SAVINGS C ~ CHECKING t ) TRUST tX) TIME CERTI KATE
DATE ESTABLISHED 01-18-2008
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TeY f_R~i~TTS
.00
X 0.500
.00
.00
.00
X .12
.00
NOTE: TO ENSURE PROiER CREDIT TO YOUR
ACCOUNT, SUBM T THE UPPER PORTION
OF THIS NOTIC WITH YOUR TAX
PAYMENT TO TH REGISTER OF WILLS
AT THE ADDRES SHOWN ABOVE.
MAKE CHECK ORMONEY ORDER PAYABLE
T0: "REGISTE OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYME T .0
BALANCE OF TAX D E 0
INTEREST AND PE
.0
TOTAL DUE .~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL D E IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIO 'S.
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
BRADLEY E CRUM
4448 PASTURE DR
ELIZABETHTOWN PA 17022
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLY HELD OR TRUST ASSETS
~-ennsylvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP C12-09)
DATE 03-16-2 10
ESTATE OF CRUM JR HORACE M
DATE OF DEATH 10-01-2 08
FILE NUMBER 21 08-1 18
COUNTY CUMBERL ND
SSN/DC 182-40- 844
ACN 0910616
MAKE CHECK PAYABLE AN (REMIT PAYMENT T0:
REGISTER OF WILLS'
1 COURTHOUSE SQUA E
CARLISLE PA 170'3
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-
REV-1604 EX AFP C12-09~
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASS TS **
DATE: 03-16-2010
ESTATE OF: CRUM JR HORACE M DATE OF DEATH: 10-01-2008 CO NTY: CUMBERLAND
FILE NO.: 21 08-1018 S.S/D.C. N0.:182-40-7844 CN: 09106169
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: BELCO COMMUNITY Cu ACCOUNT N0 . ': 863044
TYPE OF ACCOUNT: C ) SAVIN GS ( ) CHECKING C ) TRUST CX) TIME CERTI KATE
DATE ESTABLISHED 01-18-2008
Account Balance •00 NOTE: TO ENSURE PRO ER CREDIT TO YOUR
Percent Taxable X 0.500 ACCOUNT, SUBM IT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTIC ~ WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO TH REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRES SHOWN ABOVE.
Tax Rate X •12 MAKE CHECK OR (MONEY ORDER PAYABLE
Tax Due •00 T0: "REGISTE I OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYME T .00
BALANCE OF TAX D E .00
INTEREST AND PE I,. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL D ~ IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION .
V ,
REV-1470 EX (01-10)
~ pe1111SJ/~Vc'~111C'~ INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
t .............. .:....
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601 ~
P 171 - 1
DECEDENT'S NAME FI E NUMBER
Horace M. Crum, Jr. 2108-1018
REVIEWED BY A N
Eunice Baker 09003050, 09106169
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above accounts have been adjusted to zero due to a Credit nion error.
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